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Minnesota rates for HCPCS A9528

Iodine I-131 Sodium Iodide Capsule(S) Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $150.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.65 / $67.56 / $79.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $164.81 / $970.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.85 / $164.81 / $164.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.31 / $353.55 / $850.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $130.24 / $140.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.31 / $323.23 / $669.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $111.00 / $138.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.02 / $133.91 / $208.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $59.24 / $178.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $53.33 / $118.12